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Lt. Michael Dyzak – State Fire Marshal (Interim)
107 Jacobsen Way
Carson City, Nevada 89711
Phone: (775) 684‐7510 Fax: (775) 684‐7518
www.fire.nv.gov
INSPECTION REQUEST FORM
Please Review Inspection Request Form Directions on Next Page
Requested by SFM Proj #
Company Contact Phone
Project Name
Project Address
Contact Email
City
Date / Time for Inspection (Provide Two [2] Separate Date Choices)
1st Choice
nd
2 Choice
Type of Inspection Rough Final
Underground
Sprinkler System
Fire Alarm
Hood / Duct Suppression System
Building Fire / Life Safety
Other (Explain
SFM Staff Comments Only
Date Received Assigned Inspector
Date Inspected Inspection Agency
Notes
Rev: 02/19/2020
NSFM INSPECTION REQUEST FORM DIRECTIONS:
Complete the Inspection Request form
The “SFM Proj. #” noted on the Inspection Request Form is the Nevada State Fire Marshal Division
permit number printed on your approved plan set.
In addition, you must have the Nevada State Fire Marshal Division approved plan set onsite at time of
inspection. This set has the red Nevada State Fire Marshal Division seal on every plan sheet. Failure to
have and/or provide the SFM approved plans may result in a failed inspection and reinspection fees.
Attach the form to an email. Note in the subject line “Inspection Request”
Please schedule inspections a minimum of three (03) business days in advance; however, due to
staffing levels or travel to remote locations around the State, the fulfillment of inspection requests may
take longer.
Once received, the assigned Inspector will contact you to confirm a mutually agreed upon date and
time for the inspection. It is vital that the provided contact information is accurate.
If you are not contacted within two (02) business days of submitting your request, please call:
Connie Etchison - (775) 684-7510.
Scheduling and canceling ALL inspections must occur through the Carson City office of the Nevada
State Fire Marshal Division. You may not schedule or cancel your inspection directly with the assigned
Fire Inspector or Officer.
Same day inspection cancellations must be received PRIOR to the assigned Fire Inspector or Officer
arriving onsite, and must be delivered directly to a staff member at the Carson City office of the Nevada
State Fire Marshal Division.
The fees previously paid with your project submittal cover the plan review and one (01) scheduled
inspection, per inspection category. If an inspection fails, or is not ready a reinspection fee may be
charged. This fee will be calculated, sent to you as an invoice, which must be paid before you schedule
the next inspection.
Prior to scheduling an inspection it is your responsibility to verify that the project is ready for the
inspection. This includes performing system pre-tests, walking the project for completeness, etc.
Rev: 02/19/2020